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Home My WebLink AboutAtlas Technical Consultants LLC; 2020-08-18; PSA21-1203CMIPSA21-1203CMI City Attorney Approved Version 8/2/2022 1 PROJECT TASK DESCRIPTION AND FEE ALLOTMENT NO. 12 PROJECT NO. 6096/6104 This twelfth Project Task Description and Fee Allotment, is entered into on January 11, 2023, pursuant to an Agreement between Atlas Technical Consultants, LLC, a Delaware limited liability company ("Contractor") and the City of Carlsbad, California, a municipal corporation ("City") dated August 18, 2020 (the “Agreement”), the terms of which are incorporated herein by this reference. 1. CONTRACTOR'S OBLIGATIONS Contractor shall provide Special Inspections and Testing in accordance with the City of Carlsbad Engineering Standards, 2022 Edition, the Standard Specifications for Public Works Construction, 2021 Edition and the supplements thereto as published by the “Green Book” Committee of Public Works Standards and the proposal dated November 23, 2022 (“proposal”), attached as Appendix "A" for the Signing & Striping Project (the “Project"). The Project services shall include Special Inspections & Testing. 2. PROGRESS AND COMPLETION Contractor's receipt of this Project Task Description and Fee Allotment, signed by the City Manager or Director and a Purchase Order from the City’s Purchasing Department, constitutes notification to proceed to the Contractor. Contractor shall begin work within five (5) working days after receiving this fully executed document and a City Purchase Order. Contractor shall complete the work by March 31, 2023. Working days are defined in Part 1 General Provisions, Section 1-Terms, Definitions, Abbreviations, Units of Measure, and Symbols, page 4 section titled "Working Day" of the Standard Specifications for Public Works Construction (Green Book). Extensions of time for this Task Description may be granted if requested and agreed to in writing by the Director or City Manager. In no event shall Contractor work beyond the term or authorized compensation of the Master Agreement, as amended by this Project Task Description and Fee Allotment. 3. FEES TO BE PAID TO THE CONTRACTOR Contractor’s compensation for the Project is shown in Table 1 "Fee Allotment," herein. Fees shall be paid on the basis of time and materials for each task group shown in Table 1. Progress payments shall be based on work days. Appendix "A," attached, prepared by Contractor and reviewed by City, shows the parties’ intent as to the elements, scope and extent of the task groups. Contractor acknowledges that performance of any and all tasks by the Contractor constitutes acknowledgment by Contractor that such tasks are those defined in Appendix "A." Additional task groups, not shown in Table 1 or Appendix “A,” will be performed by the Contractor only upon authorization of the City through the mechanism of a separate Project Task Description and Fee Allotment and Purchase Order. In the event that City directs Contractor to curtail or eliminate all, or portions of the task groups identified in Table 1 or Appendix “A,” then the Contractor shall only invoice the City for work actually performed. The maximum total cost of Contractor's services for this Project Task Description and Fee Allotment is $15,000.00. DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A January 11, 2023 PSA21-1203CMI City Attorney Approved Version 8/2/2022 2 4. PREVAILING WAGE RATES Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Agreement are subject to state prevailing wage laws. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all such workers employed by him or her in the execution of the Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A PSA21-1203CMI City Attorney Approved Version 8/2/2022 3 TABLE 1 FEE ALLOTMENT SPECIAL INSPECTIONS & TESTING TASK GROUP TIME & MATERIALS Special Inspections & Testing $15,000.00 TOTAL (Not-to-Exceed) $15,000.00 CONTRACTOR Atlas Technical Consultants, LLC (name of Contractor) (name of Contractor) By: By: (sign here) (sign here) Jeffrey R. Baudour, Director of CMT & Field Services (print name/title) (print name/title) If Contractor is a corporation, this document must be signed by one individual from each column: Column A Chairman, President or Vice-President Column B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. CITY OF CARLSBAD, a municipal corporation of the State of California By: ________________________________ Date: _________________________ Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager APPROVED AS TO FORM: CINDIE K. McMAHON BY: ____________________________ City Attorney DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A January 11, 2023 Proposal No. 22-14066R3 Page | 1 6280 Riverdale Street San Diego, CA 92120 (877) 215-4321 | oneatlas.com November 23, 2022 Proposal No. 22-14066R3 MR. STEVEN DIDIER CONSTRUCTION MANAGEMENT AND INSPECTION DEPARTMENT CITY OF CARLSBAD 1635 FARADAY AVENUE CARLSBAD, CALIFORNIA 92008-7314 SUBJECT: Proposal for Construction Testing & Inspection Services 6096-6104 Signage and Stripping Project Various Locations, Carlsbad, California Dear Mr. Didier: In accordance with your request, Atlas Technical Consultants LLC (Atlas) is pleased to submit this revised proposal for professional services at the subject project located at various locations in Carlsbad, California. Atlas has reviewed the project documents and addressed the requirements for construction testing in the below scope of work. We understand the construction testing services required for this project will consist of subgrade preparation, aggregate base, and asphalt placement. Based upon our review of the project documents and experience on similar projects, we propose to provide our services on a time and materials basis at the unit rates provided in our Master Agreement PSA21-1203CMI dated August 18, 2020. A construction schedule was not available for developing this estimate. When a construction schedule is available, Atlas will re-evaluate this estimate and work with you to refine our approach to look for additional cost savings. SCOPE OF WORK Atlas’ proposed scope of work for construction testing will consist of the following: Observation and relative compaction testing of subgrade preparation, aggregate base,asphalt slurry sampling, and asphalt placement Preparation of reports summarizing our tests and observations of subgrade preparation, aggregate base, and asphalt placement Provide daily inspection reports describing the work inspected and stating compliance or non-compliance with the project documents. Atlas daily field reports will be sent to the appropriate recipients electronically daily. PSA21-1203CMI Appendix "A" DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A ____,. ... I A , I L) Proposal No. 22-14066R3 Page | 2 Provide supervision of our project personnel by our project engineer, a Registered CivilEngineer. The project engineer will review all special inspection reports and test results, attend site meetings as requested, and review all billing. Additionally, the project manager will act asa point of contact and will be available to answer questions that may arise. COST INFORMATION We propose to provide our services for as needed special inspection on a not to exceed amount of $15,000 on a time and materials basis in accordance with our Master Agreement PSA21- 1203CMI dated August 18, 2020. Notes: (1)It should be recognized that unforeseen conditions, unfavorable weather, and other unanticipated conditions may affect the actual duration of the work. This proposal does not include fees for seismic fault mapping, should a fault be discovered, or hazardous material testing or disposal. Services in addition to those described in this proposal may be requested by or on behalf of the client and will be invoiced on a time and materials basis at the unit rates outlined in this document. (2)The unit costs shown are based upon work taking place between the hours of 0600 and 1700; Monday through Friday, excluding nationally recognized holidays. Work performed on a Saturday or more than 8 hours on a given day will be invoiced at 1.5 times the standard rate. Work performed on Sunday or nationally recognized holidays will be invoiced at 2 times the standard rate. All unscheduled cancellations will be invoiced a minimum of 2 hours. All other terms and conditions shall be per our standard Schedule of Fees. DEFINITION OF RESPONSIBILITY The presence of our field representative will be for the purpose of observing the construction and reporting its general compliance with the approved plans and the applicable building codes. Our work does not include the supervision or direction of the contractor’s work, their employees, or their agents. The contractor is responsible for their services, and neither the presence of our field personnel nor the observation and testing by this firm should excuse the contractor in any way for defects in their work. It should further be understood that we are not responsible for site safety. AUTHORIZATION This budget estimate will be valid for 90 days. Atlas appreciates this opportunity to provide our professional services and is most interested in becoming a member of your consultant team. Atlas has considerable experience in successfully providing these services and we are confident that we can provide them in a timely and cost-effective manner. Should you have any questions regarding this budget estimate, or if we may be of further service, please contact our office at (619)280-4321. PSA21-1203CMI Appendix "A" (Cont.) DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A Proposal No. 22-14066R3 Page | 3 Respectfully submitted, ATLAS TECHNICAL CONSULTANTS LLC Aklilu Y. Estifanos, EIT Daniel Ferguson Project Manager Geotechnical Field Supervisor/Project Manager AYE:DF:af Distribution: Addressee via email at Steven.Didier@carlsbadca.gov PSA21-1203CMI Appendix "A" (Cont.) DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A A -.1 A e ----,--, I L f~ DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A Pag• 1 of 2 ACORDfl> CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDIVYYY) ~ 11/H/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certain pollcles may require an endorsement. A statement on this certificate does not confer riahts to the certificate hokier In Heu of such endorsement(s). PRODUCER 5me~CT Willi• Tower• Wat;oon CerU.ficot;a Center Willia Tovera Wataon Inauranca Sarvic•• ••■t, :tnc. P!f_2N_t ., __ 1-877-945-7378 I f;Ce No1-1-B88-H7-237B c/o 26 Century Blvd P.O. Box 3D5191 !it':il'Ess: certificat;e11B•i11is. com lfaehville, TN 3'123D5191 USA INSURERISI AFFORDING COVERAGE NAICI INSURER A : Steadfast ::i:neurance Company 26387 INSURED INSURER B : Zurich -rican :tnauranca Cmapany 1653!1 Atla■ Tacbnical conoultanta, Inc. c/o Atlaa Technical COooul.tanto, :tnc. INSURERC: 13215 Bee ca..,. Pa~bray, Buildlll9 A, Sul.to 25D INSURERD: lw■t1n, 'rX '18738 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: W266369!14 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR e, ,:8:G'~~ ... ,=~ LTR TYPE OF INSURANCE ,...,,n wun POUCYNUMBER Ul,fiS )( C0Ml4ERCIALGENERALI.IABIUTY EACH OCCURRENCE s 2,0DO,DD.--D CLAIMS-MADE 0 OCCUR ~~~s,e'a-··--s 100,DD:> -A MEO EXP {Any ano paroon) s 5,DOO -y y 11/13/2022 11/13/2023 GPL D217D85-0'1 PERSONAL & ADV INJURY s 2,000,DDv - ~'L AGGREGATE UMrT APPLIES PER: GENERAL AGGREGATE $ 6,0DO,DOG POLICY~ m?r ~ LOC PRODUCTS • COMP/OP AGO s 4,000, DO:- OTHER: $ AUTOMOBILE LIABILITY [;UVl81NED SINGt.E LIMrT $ s,ooo,Do: ,eon•~· -X ANY AUTO BODILY INJURY (Pm person) $ B -OWNED -SCHEDULED r y 11/13/2D22 AUTOSQIILY AUTOS BU' 021 '1109-D'1 11/13/2023 80DIL Y INJURY !Pm accldolll) s -HIRED -NON-OWNED rJ!.9~~M4AGE . $ -AUTOS ONLY -AUTOS ONLY s UMBRELLA LIAB P4 OCCUR EACH OCCURRENCE s 1D, 000, DO:• A -X EXCESSUAB CLAIMS-MADE y y BXS 021'1D'17-0'1 11/13/2D22 11/13/2023 AGGREGATE s lD,DOD,00~ OED I I RETENTION s s WORKERS COMPENSATION Xl~~nrre I I si"' AND EllPLOYERS' LIABILITY YIN B ANYl'ROPRIETORIPARTNERIEXECUTIVE 8 y E.L EACH ACCIDENT s 1, DOD, OO:· OFACERIMEMBEREXCLUDED? NIA 1IC D21'1111-D7 11/13/2022 11/13/2023 1,DDD,DO!! (Mandatory In NH) E.L. DISEASE · EA EMPlOVEE s 11 ies, desc:r!ba under 0 SCRIPTION OF OPERATIONS bo!Ow E.L DISEASE , POLICY LIMIT s 1,D00,00:l A Profao■1onal Lillbil1ty GPL 021'108ll-D'1 ll/13/2D22 11/13/2023 Each lncidant $2,DOD,000 Clallll• Nada Policy A9,Jr99at11 $15,DOD,OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adcllllcln■I Rmnarlla Schlldula, may be llhacllod II more IJllllCG la roquhd) The General Liability policy includes blanket Additional l:naured and The General, Pollution and Profeaaional Liabilities include a blanket Waiver of Subrogation endorsement that providea this feature only when there ia a written contract between the named insured and the certificate Holder that requirea it, as permitted by law. The General Liability policy contains a special endorsement with nprimary and Noncontributoryn wording. SU AT'l'ACHltD CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE tHEAEOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WJTH THE POLICY PROVISIONS. Cit;y of Carlsbad/CMWD c/o BXIG:tS xn■uranca Cmnpliance Sorvic•• AUTHORIZED REPRESalTATIYE Attn: Janean Havnay PO Box g,47 ~ -Nl:lrri•t•, CA 92564 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD n. m: 23313626 IIATc:11: 273732!1 2o11 s· ,a DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A AGENCY CUSTOMER ID:..--------------,----- LOC #: --------- ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED "Q!'ilUs 'l'owe:i,s Watson Insu:i,ance Se:i,vicee West, Inc. Atlas Technical Consultants, J:no. c/o Atlas Technical Ccnsultanta, J:no. POLICY NUMBER 13215 Bee Cave Parkway, Building A, Suite 250 See Page 1 Austin, 'l'X 78738 CARRIER I NAICCODE iee Page 1 Sea Pagel EFFECTIVE DATE: See Page l ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certifieate of Liability Ineu:i,anoe The General Liability, Contractor's Pollution Liability and Professional Liability are part of a package policy. The Aggregate reflected for these coverages ia a combined aggregate and not separate aggregates for each coverage. The Business Auto policy includes blanket additional insured and Waiver of Suhrogatior.. endorsements that provi~ additional insured status to the certificate holder and Waiver of Subrogation only when the~e-is a written cont~act between the named insured and the Certificate Holder that requires it, as permitted by law. The Buaineaa·Auto p~licy contains a special endorsement with "Primary and Noncontributory" wording. Additional Insured: The Excess Liability policy includes a blanket automatic additional ins·.ired endorsement !provision] that provides additional insured status to the certificate holder only when there is a written contract. between the named insured and the certificate holder that requires such status. Prilllary and Noncontributory: The Excess Liability policy contains a special endorsemer.t wit:.'1 "·Primary and Noncontributory" wording, Waiver of Subrogation: The Excess Liability policy includes a blanket automatic waiver of subrogation endorseme~t that provides this feature only when there is a written contract between the named insured an~ the certificate holde~ that requires it, as permitted by ~aw. The Workers Compensation policy includes a blanket automatic waiver of subrogation endorsen:ent that provides th~s feature only when there is a written contract between the named insured and the certificate holder that require~ it, as permitted by law. The General Liability policy evidenced herein includes Bodily Injury and Property Damage Liability. RE: Project Nan1e: P~l-1215CMI, Master Agreement for As-Needed Services. INSURER AFFORDING COVERAGE: Steadfast Insurance Company POLICY NCJMBER: GPL 0217085-07 EFF DATE: 11/13/2022 TYPE OF INSURANCE: Contractor's Pollution Liability Claims Made LIMIT DESCRIPTION: Each Incident Policy Aggregate EXP DATE: 11/13/2023 LIMIT AMOUNT: $2,000,000 $6,000,000 INSURER Ai'l'ORDING COVERAGE: Zurich Americllll Insurance Company POLICY NUMBE:R: WC 7306651-01 EFF DATE: 11/13/2022 EXP DATE: 11/13/2023 SUBROGATION WAIVED: Y TYPE OF INSURANCE; Workers Compensation and Employers Liability Per Statute LIMIT DESCRIPTION: E.L. Each Accident E.L. Disease -EA EMP E.L. Disease -POL LMT LIMIT AMOUNT: $1,000,000 $1,000,000 $1,000,000 NAIC#: 26387 NAIC#: 16~3~ ACORD 101 (2008/01) © 2008 ACOF.D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 23313626 BATCH: 2737325 CERT: 1926636954 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A Atlas Technical Consultants, Inc. Schedule of Named Insureds 1 Alliance Geomatics, tLC Alta Vista Engineering Services AG Alta Vista Solutions Inc. Arrow ATC Holdings, LLC Arrow Environmental Holdings LP Arrow Envir.onmental Holdings, GP LLC ATC Associates of North Carolina, PC ATC Associates of Ohio, LP ATC Associates, Inc. ATC Construction Services, Inc. ATC Engineering of Michigan, LP ATC Engineering, LLP ATC Environmental, Inc. ATC Group Holdings LLC ATC Group Partners LLC ATC.Group Services LLC ATC Group Services, LLC dba Atlas Technica I Consultants, ~LC ATC Holding, Inc. ATC Leasing Company, LLC ATC New England Corporation ATC Sole Member LLC Atlantic Engineering Laboratories of New York, Inc. Atlantic Engineering Laboratories, Inc. Atlantic Engineering Laboratories, LLC Atlas ATC Engineering, Inc. Atlas-Consulting Services Atlas Engineering West, Inc. Atlas Intermediate Holdings LLC Atlas TC Holdings LLC Atlas Technical Consultants Holdings, LP Atlas Technical Consultants LLC Atlas Technical Consultants Sole Member LLC .A,tlas Technical Consultants, Inc. Bananza Industries, Inc. BCM Engineering, Inc. Bee.st Expr!!SS, LLC Caitcon, LLC (;ardno ATC (MA), Inc. CEL Consulting, LLC Consolidated Engineering Laboratories Dexter ATC Field Services LLC Dexter Field Services, LP Engineerlng & Testing Services LLC Engineering Services, LLC Environmental Compliance Services, Inc. ETS-ESC Holdings LLC Geosphere Consultants, Inc. HES Testing, LLC Long Engineering, Inc. Long Engineering, LLC Materials Testing & Inspection, LLC. O'Neill Service Group, LLC Oris Solutions, LLC Pavetex Engineering, LLC fka PaveTex ~nglneering;_& Testing Piedmont Geotechnical Consultants, LLC Pipeline Environmental Services Plant Services Quality Assurance Engineering, lnc. Quality Assurance Engineering, Inc. dba Cor:1solid:1ted Engineering .Laboratories Rocky Mountain PSI, LLC Sage ATC Environmental Consult Ing LLC Sage ATC Environmental Holdings LLC Sge Engineering; Inc. Sage Environmental Consulting, LP Sage Envirqnmental Holdings, LLC SCST, LLC Southwest Geophysics, LLC The Environmental Institute Transmart Technologies, LLC TanSmart, lnc. TranSmart, LLC United Testrng, LLC fka United Testing Corporation WesTest, LLC Wilkins Environn,ental Consulting, Inc .. 3 of 7 5176 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A ® Additional Insured -Automatic -Owners, Lessees Or Contractors ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GPL-0217085-07 J Effective Date: 11/13/2022 This endorsement modifies insurance provided under the: Commerclal General Liability Coverage Part One, Common Coverage Provisions A. Section I ..;. Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertlsini;; injury" and subject to the following: 1. lf such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of 1he following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s}, but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respectto Paragraph 1.a. above; or (2) ''Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such addition a. insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your wc-rk" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (b), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to ''bodily injury", "property damage'' or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), STF-ESP-MAN-1 (11/22) Page 1 of 4 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A such person or organization is then an additional insured w~h respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement However, solely with respect to this Paragraph 2., insurance afforded to such addition al insured: (I) Only applies if the "bodily injury", ''property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (ll), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", ''property damage" or a "personal and advertising injury'' offense which occurs during the policy period and after the end of that mini mum time period, 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury'' is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract ::>r written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury'', "property damage" or ''personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), STF-E:SP-MAN-1 (11122) Page 2 of 4 4 ,11 5178 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or wri-:ten agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (4), if the written contract or written agreement provides a minin:ium time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury" or "property damage" Which occurs during the policy period and after the end of that minimum time period. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsem,ent, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: · 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused: the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Common Coverage Provisions, Section IV -Claims Provisions, Paragraph 2: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit'' as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit'' will promptly be brought against any policy isl:\ued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. · D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section V-Conditions, Paragraph 8: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance availat:-le to an additi9nal insured provided that a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not s;eek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 8.b. of the Other Insurance Condition under Section V -: STF-ESP-MAN-1 (11/22) Page 3,of 4 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A This, insurance is ex_cess over; Any of the other insurance, whether primary, excess, contingent or on any other basis, available tc .a.n additional insured,. in which the additional insured on our pQlicy .is also covered as an adc;jitional insured on another.policy providing coverage for the same "occurrence", offense, claim or "suit''. Tt,is provis[on does ndt: apply to any poUcy in whi.ch the additic,nal insured is a Named Insured_ on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. E. This endorsement does not apply to ·an additional insured which has been added to this c·overage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional :irisured. F. Solely with respect to the insurance afforded to an additional insured· under this endorsement, the following is added to Section Ill -Limits Of Insurance: Additional Insured -Automatic-Owners, Lessees Or Contractors Limit The most we will pay c,n behalf of the additional Insured 1s the a·mount of insurance: 1. Reqaired by the. written .contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement sha.11 not increase tt,e applicable Limits of Insurance shown in .the Declarations. All other .terms, c:on,ditions, provisions and exclusions of this policy remain_ the same. STF•ESP-MAN-1 (1 1.122) Page 4 :if 4 5~f7 5178 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A Waiver of Transfer of Rights of Recovery Against Others -Blanket as Required by Contra_ct Polley No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer GP L 0217085-C:7 11/13/2022 11/13/2023 ' 11/13/2022 14317000 Named Insured and Malling Address: Producer: ® ZURICH Add'I Prem. Return Prerh. ------------------- ATLAS TECHNICAL CONSULTANTS, INC. 13215.BEE CAVE PKWY, BUILDING A, SUITE 250 AUSTIN, TX 78738 WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC. 811 LOUISIANA ST STE 2200 HOUSTON, TX 77002-1400 ITHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [ X ] COVqRAGE PART ONE-COMMERCIAL GENERAL LIABILITY [ X ] COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY [ _X ] CbVERAGE_ PART THREE -PROFESSIONAL LIABILITY In co1siderat.on of the payment of premium and the Deductible by you and in reliance upon the statements in the Application m:1de a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTttER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED .. STF-ESP-248-A CW (04110) Page 1 of 1 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A ® Blanket Notification to Others of Cancellation ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Elf. Date of End. Producer Add'I Prem. Return Prem. GPL 0217085•07 11/13/2022 11/13/2023 11113/2022 14317000 ------------------- Named Insured and Malllng Address: Producer: ATLAS TECHNICAL CONSULTANTS, INC. 13215 BEE CAVE PKWY, BUILDING A, SUITE 250 AUSTIN, TX 78738 WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC. 811 LOUISIANA ST STE 2200 HOUSTON, TX 77002-1400 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Agribusiness Pollution llablllty Insurance Polley -Clalms Made and Reported Coverage Commercial Umbrella Llabllity Polley Commerclal Umbrella Llablllty Policy-Clalms Made and Reported Coverage Contractor's Pollutlon Liability Insurance Polley Contractor1s Pollutlon Llablllty Insurance Polley -Clalms Made and Reported Coverage Environmental Cleanup and Liability Insurance Policy -Claims Made and Reported Coverage Environmental Impairment Llabllity Insurance Polley -Clalms Made and Reported Coverage Envlronmental Services Package Polley Excess Environ mental Insurance Policy -Claims Made and Reported Coverage Follow Form Excess Uablllty Polley Follow Form Excess Liability Policy-Claims Made and Reported Coverage Healthcare Pollution Liability Insurance Policy -Claims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance -Claims Made and Reported Coverage Lender Environmental Collateral Protection and Llablllty Insurance Polley -Claims Made and Reported Coverage Professional Consultant's Llablllty Insurance Policy. Claims Made and Reported Coverage Professional Environ mental Consultant's Liability Insurance Polley Professlonal Environ mental Consultant's Uablllty Insurance Policy -Clalms Made and Reported Coverage Publlc Entity Pollution Llablllty -Claims Made and Reported Coverage Real Estate Environmental Liability Insurance Polley• Claims Made and Reported Coverage Remediation Stop Loss Z Choice Pollution Llabillty Z Choice® Real Estate Envlronmental Liability -Clalms Made and Reported Coverage z Choicer,., Pollution Llablllty -Claims Made and Reported Coverage Z Link® Commercial General and Pollution Liability A. If we cancel this policy by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such policy has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: STF-ENVL-1632-A CW (11/10) Page 1 of 2 8017 5176 DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A 1. Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3. and 4. above. 8. Our delivery of the electronic notification as described in Paragraph A. of this endorsement wi I be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Nar:ned Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement. D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not 1. E:<tend the Coverage Part cancellation date; 2. Negate the cancellation; or 3. Provide any additional insurance that would not have been provided in the absence cf this endorsement. E. We a~e not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provideq to us as described in Paragraphs A. and B. of this endorsement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. J STF-ENVL-1632-A CW (11/10) .1. Page? of 2 I I DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A • Notification to Others of Cancellation zu-RICH~ Policv No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP-0217109-07 11/13/2022 11/13/2023 11/13/2022 14317000 --·--·---................. -..... - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 1 O days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 1 O days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Oraanlzatlon(s): Any person(s) or organization(s) whom you are required by written contract ---- " All other terms and conditions of this policy remain unchanged. INTERNAL USE ONLY Number of Days Notice: 30 U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. DocuSign Envelope ID: D74D3296-8921-4B79-ACB9-7980D9BFB94A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC99 0643 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorserrent adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electronic format that is acceptable to us. 2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mall or deliver such notific~tiori to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal. 3. Our mailirg or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Exten,j the policy cancellation or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided t:J us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endors:3ment changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement Is Issued subsequent to preparation of the policy,) Endorsement Effective: 11/13/2022 Policy No. WC-0217111 ·07 Endorsement No. Insured: ATLAS TECHNICAL CONSULTANTS, 1NC. Premium$ Insurance Comoany: ZURICH AMERICAN INSURANCE COMPANY WC 99 06 43 Page 1 of 1 (Ed. 01·13) ln::ludes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc, All Rights Reserved. Public Works Contract Administration 1635 Faraday Avenue  Carlsbad, CA 92008 August 24, 2022 Jeffrey Baudour Operations Manager Atlas Technical Consultants, LLC 6280 Riverdale St. San Diego, CA 92120 Reference: Time Extension for PSA21-1203CMI- Villas Lift Station Replacement Dear Mr. Baudour: The City of Carlsbad is issuing a time only extension through Jan. 31, 2023 to complete work under Task No. 11 for PSA21-1203CMI. Please sign below indicating that the City and the Contractor are in acknowledgement and agreement to extend this Task order. All other provisions and requirements of the Agreement will remain in full force and effect. Sincerely, Janean Hawney Contract Administrator City of Carlsbad Contractor Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager Jeffrey Baudour, Operations Manager cc: Emily Hasegawa, Municipal Projects Manager DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 {city of Carlsbad DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 .--------, I DATE(MM/DD/YYYY) AC::c:>R~® CERTIFICATE OF LIABILITY INSURANCE .____...._. 11/12/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI ES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk services southwest, Inc. PHONE (866) 283-7122 I r.et No.): (800) 363-0105 Houston TX office (A/C, No. Ext): 5555 San Felipe E-MAIL suite 1500 ADDRESS: Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: zurich American Ins Co 16535 Atlas Technical consultants, Inc. SCST, LLC INSURER B: Steadfast Insurance company 26387 13215 Bee cave Parkway INSURER C: Building B, suite 230 Austin TX 78738 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090282098 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested 'N'FI' TYPE OF INSURANCE If~~[) 'wvo POLICY NUMBER 1 ,{;.'iJ,'i6'6lYv'rn IMM!D'61YYYY LIMITS 8 X COMMERCIAL GENERAL LIABILITY GPLULl/UO)UO 11/1:S/ <liLJ I .Ll/ U/ «.ILL EACH OCCURRENCE $2,000,000 1--D 0occuR I.JMIVIMU~ I U Ht:1'11 I ~U $100,000 CLAIMS-MADE PREMISES (Ea occurrence) MED EXP (Any one person) $5,000 1-- PERSONAL & ADV INJURY $2,000,000 1--$6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE R 0PRO· 0 PRODUCTS -COMP/OP AGG $4,000,000 POLICY X JECT X LOG OTHER: A AUTOMOBILE LIABILITY BAP 0217109-06 11/13/2021 11/13/2022 COMBINED SINGLE LIMIT $5,000,000 !Ea accident\ 1-- X ANY AUTO BODILY INJURY ( Per person) 1---SCHEDULED BODILY INJURY (Per accident) OWNED 1--AUTOS ONLY .__ AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED (Per accident) 1--ONLY .__ AUTOS ONLY B UMBRELLA LIAB H OCCUR. SXS021707706 11/13/2021 11/13/2022 EACH OCCURRENCE $1,000,000 .__ AGGREGATE $1,000,000 X EXCESS LIAS CLAIMS-MADE DED I I RETENTION A WORKERS COMPENSATION AND WC021711106 11/13/2021 11/13/2022 X I PER STATUTE I IOTH-EMPLOYERS' LIABILITY Y/N AOS ER A ANY PROPRIETOR/ PARTNER/ EXECUTIVE ~ WC730665100 11/13/2021 11/13/2022 E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) WI E.L. DISEASE-EA EMPLOYEE $1,000,000 ~~st~ftff~~ ~n:~PERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 B E&o-PL-Primary GPL021708506 11/13/2021 11/13/2022 Each rnci dent $2,000,000 CLAIMS MADE Aggregate $6,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Carlsbad Municipal water District AUTHORIZED REPRESENTATIVE Attn: contract Administration 1635 Faraday Avenue Carlsbad CA 92008 USA ~~g~~~~ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ... Q) :E E Q) :5! ... Q) "t:I 0 J: ro 0) 0 C\J ~ 0 0) 0 0 r---lO 0 z Q) iii 0 ;;::: t Q) u - DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 AGENCY CUSTOMER ID: 570000080236 LOG#: ADD ITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk services southwest, Inc. Atlas Technical Consultants, Inc. POLICY NUMBER see Certificate Number : 570090282098 CARRIER I NAICCODE See certificate Number: 570090282098 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER($) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER Page _ of _ I ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDI., SUBR POLICY NUMBER EFFECTIVE EXPIRATION LIMITS LTR TYPE OF INSURANCE INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) OTHER B Env Contr Poll GPL021708506 11/13/2021 11/13/2022 Each $2,000,000 Incident Aggregate $6,000,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 AGENCY CUSTOMER ID: 570000080236 LOC#: ADD ITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk services southwest, Inc . Atlas Technical Consultants, POLICY NUMBER see certificate Number: 570090282098 CARRIER I NAICCODE see certificate Number: 570090282098 EFFECTIVE [?ATE: ADDITIONAL REMARKS THIS ADDITIONAL RE MARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ATLAS TECHNICAL CONSULTANTS HOLDINGS LP SCHEDULE OF NAMED INSUREDS Alta vista Engineering services AG Alta vista solutions Inc. Arrow ATC Holdings, LLC Ar row Environmental Holdings LP Arrow Environmental Holdings , GP LLC ATC Associates of North Carol ina , PC ATC Associates of Ohio , LP ATC Associ ates, Inc. ATC construction services, Inc. ATC Engineering of Michigan , LP ATC Engineering, LLP ATC Environmental, Inc . ATC Group Holdings LLC ATC Group Partners LLC ATC Group Services LLC ATC Holding, Inc. ATC Leasing company, LLC ATC New England Corporation ATC sole Member LLC Atlantic Engineering Laboratories of New York , Inc. Atlantic Engineering Laboratories, Inc. Atlas Intermediate Holdings LLC Atlas TC Holdings LLC Atlas Technical consultants LLC Atlas Technical Consultants sole Member LLC Atlas Technical consultants, Inc. Bananza Industries , Inc. BCM Engineering , Inc. Beest Express , LLC caitcon, LLC Cardno ATC (MA), Inc. CEL consulting, LLC consolidated Engineering Laboratories Dexter ATC Field services LLC Dexter Field Servvices , LP Engineering & Testing Services LLC Engineering services, LLC Environmental compliance services, Inc. ETS-ESC Holdings LLC Geosphe re consultants, Inc . HES Testing , LLC Long Engineering, Inc. Long Engineering, LLC Materials Testing & Inspection, LLC O'Neil service Group, LLC Oris solutions, LLC Pavetex Engineering, LLC (dba PaveTex) Piedmont Geotechnical consultants, LLC Pipeline Environmental Services Plant services Quality Assurance Engineering, Inc. Rocky Mountain PSI, LLC Sage ATC Environmental consulting LLC sage ATC Environmental Holding LLC sage ATC Environmental Holdings LLC sage Engineering, Inc. sage Environmental consulting, LP Sage Envi ronmental Holdings, LLC SCST , LLC ·southwest Geophysics, LLC The Environmental Institute united Testing, LLC wesTest , LLC Wilkins Environmental Consulting, Inc. Inc. Page _ of _ ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights res~rved. The ACORD name and logo are registered marks of ACORD r.~~ ~ tl_ " ~ co 0 (') " "' 0 0 ~ 8 0 0 0 0 0 0 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 Additional Insured-Automatic-Owners, Lessees Or Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer GPL 0217085-06 11/13/2021 11/13/2022 11/'I 3/2021 14340000 Named Insured and Mailing Address: Producer: ~ ZU ICH Add'I Prem. Return Prem. ---------- - - - - - - - - - - Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 Austin, TX 78738 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy IBJ COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY IB:J COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILITY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The in surance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) "Your work" completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or STF-ESP-101-F CW (04/13) Page 1 of 3 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 ~~~ ~ (b) "Completed operations" of the "covered operations" performed for the additional in sured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an "occurrence", offense or "pollution event", as applicable, that may result in a claim; b. We receive written notice of a claim or "suit" as soon as practicable; and c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance is excess over: STF-ESP-101-F CW (04/13) Page 2 of 3 ~Ji® ~ DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-101-F CW (04/13) Page 3 of 3 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 g Additional Insured -Automatic -Owners, Lessees Or Contractors ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GPL-0217085-06 I Effective Date: 11/13/2021 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part One, Common Coverage Provisions A. Section I -Who Is An Insured is amended to include as an addit.ional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1,a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such add itional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and inc;:luded within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such add itional insured. Solely with respect to this Paragraph (b), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and · after the end of that minimum time period . 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), STF-ESP-MAN-123 Page 1 of 4 11. co I!? co 0 ':J "' 0 0 C\I ~ 0 0 0 0 0 0 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured : (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (ii), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused , in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), STF-ESP-MAN-123 Page 2 of 4 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured : (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (4), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury" or "property damage" which occurs during the policy period and after the end of that minimum time period. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Common Coverage Provisions, Section IV -Claims Provisions, Paragraph 2: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section V -Conditions, Paragraph 8: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 8.b. of the Other Insurance Condition under Section V -: STF-ESP-MAN-123 Page 3 of 4 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance: Additional Insured -Automatic -Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. STF-ESP-MAN-123 Page 4 of 4 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 Waiver of Transfer of Rights of Recovery Against Others -Blanket as Required by Contract Policy No. Eff. Date of Pol. Exp. Date of Pol. . GPL 0217085-06 11/13/2021 11/13/2022 Named Insured and Mailing Address: Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, 13uilding A Suite 250 Austin, TX 78738 Eff. Date of End. Producer 11/13/2021 Producer: AON Risk Solutions 5555 San Felipe, Suite 1500 Houston, TX 77056 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: l:nvironmental Services Package Policy [X] COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY [X] COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY [X] COVERAGE PART THREE -PROFESSIONAL LIABILITY ZURICH Add'I Prem. Return Prem . Included In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services y,.,hich is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. INTERNAL USE ONLY STF-ESP-248-A CW (04/10) Page 1 of 1 r.~ re DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 POLICY NUMBER: BAP-021 7109-06 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form . This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Atlas Technical Consultants, Inc. Endorsement Effective Date: 11/13/2021 SCHEDULE Name Of Person(s) Or Organization(s): Any person(s) or organization(s) whom you are required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms TM DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 Coverage Extension Endorsement -Liability Only ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP 0217109-06 11/13/2021 11/13/2022 11/13/2021 14340000 - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II -Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you . Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance -Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s}, where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment -Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II -Covered Autos Liability Coverage are replaced by the following : (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-428-A CW (02-14) Page 1 of 3 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II -Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability Coverage The following is added to the Racing Exclusion in Section II -Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. F. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. G. Unintentional Failure to Disclose Hazards The following is added to the CQncealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. H. Hired Auto -World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, I. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-428-A CW (02-14) Page 2 of 3 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 J. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II -Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. All other terms, conditions, provisions and exclusions of this policy remain the same. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-Cf\-428-A CW (02-14) Page 3 of 3 []._ g ,__ <X) 0 ~ "' 8 "' Ol 0 g g 0 0 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person(s) or organization(s) whom you are required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The inform ation below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 11/13/21 Policy No. WC 021711 1-06 Endorsement No. Insured: Atlas Technical Consultants, Inc. Premium$ WC124 (4-84) INTERNAM1S8(1)00'fl 3 Countersigned by Copyright 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Uniform Forms™ DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 ~ @ Designated Construction Project(s) Aggregate Limit ZURICH Coverage Part One -Commercial General Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. GPL 0217085-06 11/13/2021 11/13/2022 11/13/2021 14340000 --------------------- Named Insured and Mailing Address: Producer: Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 Austin, TX 78738 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that the following provisions apply to COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY only. Schedule Designated Construction Project(s): Construction projects as required by a written contract or written agreement executed and effective prior to providing services. Total Designated Construction Project(s) Aggregate Limit: $6,000,000 1. For all sums which the insured becomes legally obligated to pay as "damages" caused by "occurrences" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: a. A separate Designated Construction Project Aggregate Limit applies to each construction project, and that limit is equal to the amount of the Policy Aggregate Limit shown in the Declarations. b. The Total Designated Construction Project(s) Aggregate Limit, shown in the Schedule above, is the most we will pay for the sum of all "damages" caused by "occurrences" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY which can be attributed only to ongoing operations at designated construction projects. c. The Designated Construction Project(s) Aggregate Limit is the most we will pay for the sum of all "damages" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY, except "damages" because of"bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY regardless of the number of: (1) Insureds; STF-ESP-148-B CW (01/04) Page 1 of 2 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 (2) "Claims" made or "suits'' brought; or (3) Persons or organizations making "claims" or bringing "suits". d. Any payments made under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY or "damages" or under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY for medical expenses which can be attributed only to ongoing operations at designated construction projects shall reduce the Designated Construction Project Aggregate Limit for that de$ignated construction project. Such payments shall also reduce the Total Designated Construction Project Aggregate Limit shown in the Schedule above. However such payments shall not reduce the Policy Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project Aggregate Limit for any other designated construction project shown in the Schedule above. e. The limits shown in the Declarations for Each Incident, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the Policy Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project Aggregate Limits. 2. For all sums which the insured becomes legally obligated to pay as "damages" caused by "occurrences" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY, and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: a. Any payments made under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY or "damages" or under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY for medical expenses shall reduce the amount available under the Policy Aggregate Limit shown in the Declarations; and b. Such payments shall not reduce any Designated Construction Project Aggregate Limit or the Total Designated Construction Project Aggregate Limit. 3. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for "damages" because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit shown in the declarations and not reduce the Designated Construction Project Aggregate Limit. 4. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 5. The provisions of Limits of lnsl!rance and Deductible (Section Ill.) in the COMMON COVERAGE PROVISIONS not otherwise modified by this endorsement shall continue to apply as stipulated. AL L OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED . STF-ESP-148-B CW (01/04) Page 2 of 2 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 G Blanket Notification to Others of Cancellation ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. GPL 0217085-06 11/13/2021 11/13/2022 11/1 3/2021 14340000 -------------------- Named Insured and Mailing Address: Producer: Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 AON RISK SERVI CE S SOUTHWEST INC 5555 SAN FELI PE ST STE 1500 HOUSTON, TX 77056-2739 Austin, TX 78738 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Agribusiness Pollution Liability Insurance Policy -Claims Made and Reported Coverage Commercial Umbrella Liability Policy Commercia l Umbrella Liability Policy -Claims Made and Reported Coverage Contractor's Pollution Liability Insurance Policy Contractor's Pollution Liability Insurance Policy -Claims Made and Reported Coverage Environmental Cleanup and Liability Insurance Policy ~ Claims Made and Reported Coverage Environmental Impairment Liability Insurance Policy - C laims Made and Reported Coverage Environmental Services Package Policy Excess Environmental Insurance Policy -Claims Made and Reported Coverage Follow Form Excess Liability Policy follow Form Excess Liability Policy - C laims Made and Reported Coverage Healthcare Poll ution Liability Insurance Policy - C laims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance -Claims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Policy -Claims Made and Reported Coverage Professional Consultant's Liability Insurance Policy -Claims Made and Reported Coverage Professional Environmental Consultant's Liability Insurance Policy Professional Environmental Consultant's Liability Insurance Policy -Claims Made and Reported Coverage Public Entity Pollution Liability -Claims Made and Reported Coverage Real Estate Environmental Liability Insurance Policy -Claims Made and Reported Coverage Remediation Stop Loss z Choice Pollution Liability Z Choice® Real Estate Environmental Liability -Claims Made and Reported Coverage z Choice™ Pollution Liability -Claims Made and Reported Coverage Z Link® Commercial General and Pollution Liability A. If we cancel this policy by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such policy t1a s been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: STF-ENVL-1632-A CW (11/10) Page 1 of 2 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 1. Must be initially provided to us within 15 days: a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled ; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3. and 4. above. B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named In sured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement. D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not: 1. Extend the Coverage Part cancellation date; 2. Negate the cancellation; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. and B. of this endorsement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ENVL-1632-A CW (11/10) Page2 of 2 DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 Notification to Others of Cancellation ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP-0217109-06 11/13/2021 11/13/2022 11/13/2021 14340000 ----------_ .. __________ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobil e Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Any person(s) or organization(s) whom you are required by written contract. All other terms and conditions of this policy remain unchanged. INTERNAL USE ONLY Number of Days Notice: 30 U-CA-812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission . * * 0 0 g g DocuSign Envelope ID: 08BA5A95-5334-4F1B-892F-3BC7850385E3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS WC 99 06 33 A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the cancellation, as advised in our notice to you , or the longer number of days notice if indicated in the Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 1 O days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Number of Days Notice: Organization(s): Any person(s) or organization(s) whom you are required 30 bv written contract. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsem ent is issued subsequent to preparation of the policy.) Endorsement Effective 11 /13/21 Insured: Atlas Technical Consultants, Inc. Policy No. WC 0217111-06 Endorsement No. Premium $ ---------- INTERN~E~SO~0, WC 99 06 33 Includes copyrighted material of National Council on Compensation Insurance, Inc. with its permission. Page 1 of 1 PSA21-1203CMI City Attorney Approved Version 7/19/17 1 PROJECT TASK DESCRIPTION AND FEE ALLOTMENT NO. 11 PROJECT NO. 5550 This eleventh Project Task Description and Fee Allotment, is entered into on _________________________________________, pursuant to an Agreement between Atlas Technical Consultants LLC, a Delaware limited liability company, ("Contractor") and the City of Carlsbad, ("City") dated Aug. 18, 2020, (the “Agreement”), the terms of which are incorporated herein by this reference. 1. CONTRACTOR'S OBLIGATIONS Contractor shall provide construction testing services in accordance with the City of Carlsbad Engineering Standards, 2016 Edition, the Standard Specifications for Public Works Construction, 2018 Edition and the supplements thereto as published by the “Green Book” Committee of Public Works Standards and the proposal dated Jan. 19, 2022, (“proposal”), attached as Appendix "A" for the Villas Lift Station Replacement, (the “Project"). The Project services shall include construction testing services. 2. PROGRESS AND COMPLETION Contractor's receipt of this Project Task Description and Fee Allotment, signed by the City Manager or Director and a Purchase Order from the City’s Purchasing Department, constitutes notification to proceed to the Contractor. Contractor shall begin work within five (5) working days after receiving this fully executed document and a City Purchase Order. Contractor shall complete the work by Sept. 5, 2022. Working days are defined in section 6-7.2 "Working Day" of the Standard Specifications for Public Works Construction (Green Book). Extensions of time for this Task Description may be granted if requested and agreed to in writing by the Director or City Manager. In no event shall Contractor work beyond the term or authorized compensation of the Agreement, as amended by this Project Task Description and Fee Allotment. 3. FEES TO BE PAID TO THE CONTRACTOR Contractor’s compensation for the Project is shown in Table 1, "Fee Allotment", herein. Fees shall be paid on the basis of time and materials for each task group shown in Table 1. Progress payments shall be based on work days. Appendix "A", attached, prepared by Contractor and reviewed by City, shows the parties’ intent as to the elements, scope and extent of the task groups. Contractor acknowledges that performance of any and all tasks by the Contractor constitutes acknowledgment by Contractor that such tasks are those defined in Appendix "A". Additional task groups, not shown in Table 1 or Appendix “A”, will be performed by the Contractor only upon authorization of the City through the mechanism of a separate Project Task Description and Fee Allotment and Purchase Order. In the event that City directs Contractor to curtail or eliminate all, or portions of the task groups identified in Table 1 or Appendix A, then the Contractor shall only invoice the City for work actually performed. The maximum total cost of Contractor's services for this Project Task Description and Fee Allotment is $14,865.00. DocuSign Envelope ID: 7C434D3C-F9E3-481E-BEB5-91C900B3E200 February 14, 2022 PSA21-1203CMI City Attorney Approved Version 7/19/17 2 4. PREVAILING WAGE RATES Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Agreement are subject to state prevailing wage laws. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all such workers employed by him or her in the execution of the Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: 7C434D3C-F9E3-481E-BEB5-91C900B3E200 PSA21-1203CMI City Attorney Approved Version 7/19/17 3 TABLE 1 FEE ALLOTMENT CONSTRUCTION TESTING SERVICES TASK GROUP TIME & MATERIALS Construction Testing Services $14,865.00 TOTAL (Not-to-Exceed) $14,865.00 CONTRACTOR Atlas Technical Consultants LLC (name of Contractor) (name of Contractor) By: By: (sign here) (sign here) Mehrnoush Yavary, Branch Manager (print name/title) (print name/title) If Contractor is a corporation, this document must be signed by one individual from each column: Column A Chairman, President or Vice-President Column B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. CITY OF CARLSBAD, a municipal corporation of the State of California By: ________________________________ Date: _________________________ Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: ____________________________ Assistant City Attorney /// /// DocuSign Envelope ID: 7C434D3C-F9E3-481E-BEB5-91C900B3E200 2/14/2022 6280 Riverdale StreetSan Diego, CA 92120(877)215-4321 | oneatlas.com January 19, 2022Proposal No. 22-00788 MS. EMILY HASEGAWAMUNICIPAL PROJECTS MANAGER CITY OF CARLSBAD 1635 FARADAY AVENUECARLSBAD, CALIFORNIA 92008-7314 SUBJECT:Proposal for Construction Testing ServicesVillas Lift Station Replacement CIP 5550Winthrop Avenue, Carlsbad, California Dear Ms. Hasegawa: In accordance with your request, Atlas Technical Consultants LLC (Atlas, formerly known as SCST, LLC) is pleased to submit this proposal for professional services at the subject project located Winthrop Avenue in Carlsbad, California. Atlas has reviewed the project documents provided by the City and addressed the requirements for construction testing in the below scope of work. We understand the construction testing services required for this project will consist of compaction testing for grading, utility trench backfill, subgrade preparation, base placement, structural steel/welding, and cast-in-place concrete. Based upon our review of the project documents and experience on similar projects, we propose to provide our services on a time and materials basis at the unit rates provided in the Master Agreement dated August 18, 2020. A construction schedule was not available for developing this estimate. When a construction schedule is available, Atlas will re-evaluate this estimate and work with you to refine our approach to look for additional cost savings. SCOPE OF WORK Atlas’ proposed scope of work for construction testing will consist of the following: Observation of the earthwork operations and relative compaction testing Performance of laboratory tests to evaluate conformance of the soils encountered duringearthwork with the specifications Observation and relative compaction testing of utility trench backfill Observation and relative compaction testing of subgrade preparation and aggregate base placement Preparation of reports summarizing our tests and observations of the grading, utility trench backfill,subgrade preparation, and aggregate base placement Cast-in-place concrete – during the placement and sampling of concrete as required Proposal No. 22-00788 Page | 1 PSA21-1203CMI Appendix "A" ,7190 436Ā- 6:25782Ā/,) Ā&+$#$,#+Ȁ. (- #Ȁ$'!- Ȁ*- * %Ȁ(!+( * #- " __, ... I A I!! --·'• c,, .., ---- Proposal No. 22-00788 Page | 2 Fabricate, transport, and test concrete for slump, temperature, and compressive strength at therate of one set of five concrete test cylinders per 150 cubic yards, 5,000 square-feet, or for each day’s placement. Test reports shall be prepared and distributed to the designated person(s). Suspect or failing test results will be reported to the designated person(s) on the day of the test. All structural field welding and field welding of reinforcing steel High strength bolting – verify faying surfaces and a snug tight fit and/or proper torque as required Provide supervision of our project personnel by our project engineer, a Registered Civil Engineer.The project engineer will review all special inspection reports and test results, attend site meetingsas requested, and review all billing. Additionally, the project manager will act as a point of contactand will be available to answer questions that may arise. COST INFORMATION Our proposal for services is based on our review of the project documents and experience on similar projects. We propose to provide our services on a time and materials basis according to the Master Agreement dated August 18, 2020. Based on the above scope, we estimate our fees to be approximately $14,865.A cost table presenting a breakdown of our estimate has been provided in this proposal. DEFINITION OF RESPONSIBILITY The presence of our field representative will be for the purpose of observing the construction and reporting its general compliance with the approved plans and the applicable building codes. Our work does not include the supervision or direction of the contractor’s work, their employees, or their agents. The contractor is responsible for their services, and neither the presence of our field personnel nor the observation and testing by this firm should excuse the contractor in any way for defects in their work. It should further be understood that we are not responsible for site safety. During the course of a subsurface investigation, heavy equipment may disrupt the site. AUTHORIZATION Atlas appreciates this opportunity to provide our professional services and is most interested in becoming a member of your consultant team. Atlas has considerable experience in successfully providing these services and we are confident that we can provide them in a timely and cost-effective manner. Should you have any questions regarding this budget estimate, or if we may be of further service, please contact our office at (619) 280-4321. Respectfully submitted, ATLAS TECHNICAL CONSULTANTS LLC Thomas “Higgy” Higginbotham Scott H. Vacula, PEProgram Manager/Business Development Chief Estimator/Senior Materials Engineer TH:SHV:af Attachment: Budget Estimate Summary Distribution: Addressee via e-mail at Emily.Hasegawa@carlsbadca.gov PSA21-1203CMI Appendix "A" (continued) ,7190 436Ā- 6:25782Ā/,) Ā&+$#$,#+Ȁ. (- #Ȁ$'!- Ȁ*- * %Ȁ(!+( * #- " A..,.• Al!!. ----r, I L >~ Villas Lift Station Replacement City of Carlsbad Budget Summary/Cost Estimate Table Total Cost $11,151.00 Soils Tech/Concrete Tech (Group 1) - Grading, Utility Trench Backfill, Subgrade/Base, Cast-in-place Concrete 96 hours @ $100.00 /hour $9,600.00 Structural Steel Inspection (Group 2) - Field 8 hours @ $102.00 /hour $816.00 Staff Professional - Footing Observations 4 hours @ $115.00 /hour $460.00Sample Pick Up 5 hours @ $55.00 /hour $275.00 $981.00 Project Manager 6 hours @ $130.00 /hour $780.00Administrative Assistant 3 hours @ $67.00 /hour $201.00 $1,908.00 Senior Professional - As-Built Reports 4 hours @ $160.00 /hour $640.00 Staff Professional - As-Built Reports 8 hours @ $115.00 /hour $920.00 Drafter Level I - As-Built Reports 4 hours @ $87.00 /hour $348.00 $825.00 Maximum Density/Optimum Moisture - 4" (ASTM D1557) 1 test @ $200.00 /test $200.00 Maximum Density/Optimum Moisture - 6" (ASTM D1557) 1 test @ $220.00 /test $220.00 Concrete Cylinder Compression (Cal 521, ASTIM C39) 15 cyls. @ $27.00 /cylinder $405.00 $14,865.00 ASSUMPTIONS 1 2 3 4 5 6 7 8 California State Prevailing Wage Rates Estimated Hours/Unit Project January 19, 2022 Client Atlas Proposal No. 22-00788 FIELD TECHNICIAN BUDGET ESTIMATE SUMMARY CONSTRUCTION TESTING SERVICES Rate/Unit TOTAL FOR CONSTRUCTION TESTING SERVICES This budget estimate reflects realistic amounts of inspection and testing at a California State Prevailing Wage inspection rate. PROJECT MANAGEMENT LABORATORY TESTING No overtime is scheduled. The client will be invoiced per the On-Call Contract with the City of Carlsbad. The hourly rate reflects an anticipated start date of 2022. PROFESSIONAL STAFF A preliminary pre-construction schedule was not available. Plans were available for this estimate. No weekend work is scheduled. All work performed outside our scope of service will be invoiced per our Agreement for As-Needed Materials Testing with the City of Carlsbad. PSA21-1203CMIAppendix "A" (continued)DocuSign Envelope ID: 7C434D3C-F9E3-481E-BEB5-91C900B3E200 AC:ORb® ~ CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) 11/12/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk services southwest,. I nc . NAME: Houston TX Office [,vc'.~Jo. Ext): (866) 283-7122 I r~. No.): (800) 363-0105 5S55 San Felipe E·MAIL suite 1500 ADDRESS: Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC/1 INSURED INSURER A: Zurich American Ins co 16535 Atlas Technical consul tants, Inc. INSURER B: steadfast Insurance company 26387 SCST, LLC 13215 Bee cave Parkway INSURER Cl Buildings, suite 230 INSURER DI Austin TX 78738 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090282098 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested 'L'i'R TYPE OF INSURANCE i'Nso wvo POLICY NUMBER I IMMIDD/Y'f,VYI IMM/DO/V'f,'v'v LIMITS H X COMMERCIAL GENERAL LIABILITY GPLVll.lU<DVO l.1/U/<U<l lll/U/lUU EACH OCCURRENCE $2,000,000 ,__ 0occuR vn1v1n,,;n:;: IU n.r::1'11CU $100,000 CLAIMS-MACE PREMISES (Ea occurrence\ ,__ MED EXP (Any one porsoo) S5 ,000 PERSONAL & ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 R 0PRO· 0 $4 ,000,000 POLICY X JEOT X LOC PRODUCTS · COMP/OP AGO OTHER: A AUTOMOBILE LIABILITY BAP 0217109-06 1.1/13/2021 11/13/2022 COMBINED SINGLE LIMIT $5 ,000,000 IEa acc1,ien1l ,__ BODILY INJURY I Per person) X ANY AUTO ,__ OWNED ~ SCHEDULED BODILY INJURY (Per accidenl) -AUTO~ONLY f--AUTOS PROPERTY DAMAGE HIRED UTOS NON-OWNED /Per accldenl) ,__ ONLY ,__ AUTOS ONLY B UMBRELLA LIAB I~ OCCUR SXS021707706 1.1/13/2021 U/13/2022 EACH OCCURRENCE $1,000,000 ,__ AGGREGATE $1,000,000 X EXCESS LIAB 1 CLAIMS-MADE DEDj jRETENTION A WORKERS COMPENSATION AND WC021711106 1.1/13/2021 1.1/13/2022 X I PER STATUTE I IOTH• EMPLOYERS' LIABILITY ER VIN AOS A /\HY PROPRIETOR/ PMTNER I EXECUTIVE ~ WC730665100 ll/13/2021 11/13/2022 E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) WI E.L. DISEASE-EA EMPLOYEE $1,000,000 ~~sitrtf[~~ ~tr;PERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 B E&o-PL-Primary GPL021708506 11/13/2021 U/13/2022 Each rnci dent $2,000,000 CLAIMS MADE Aggregate $6,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule. may be allached II more space ls required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. carlsbad Municipal water District Attn: Contract Administration Al/THORIZED REPRESENTATIVE 163S Faraday Avenue Carlsbad CA 92008 USA ~ ~y'~y'rxd;(~~ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ... -~ :!:: .., C: (I) 32 .. QI "tl i5 :I: _____, AC:C:,Re>® ~ AGENCY CUSTOMER ID: 570000080236 LOC#: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk Services Southwest, Inc. Atlas Technical consultants, Inc. POLICY NUMBER see certificate NUtnber: 570090282098 CARRIER INAICCODE see certificate Number: 570090282098 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD25 FORM TITLE: Certificate of Liability Insurance INSURER($) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER Page_ of_ I ADDITIONAL POLICIES tr a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL sunn POLICY NUM nen E~FflC'rtVE llXPlllA1'10N LIMITS L'l'll TYPE OF INSURANCE INSll wvo DATE DATE (MM/ODIYYYY) (MM/DD/YYYY) OTHER B env contr Poll GPL021708506 11/13/2021 11/13/2022 Each Incident $2,000,000 Aggregate $6,000,000 ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENGY CUSTOMER ID: 570000080236 LOC#: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk services southwest, Inc. Atlas l'echnical Consultants, Inc. POLICY NUMBER see certificate Number: 570090282098 CARRIER I NAICCOOE see certificate Number: 570090282098 EFFECTIVE DATE; ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ATLAS TECHNICAL CONSULTANTS HOLDINGS LP SCHEDULE OF NAMED INSUREDS Alta Vista Engineering services AG Alta vista solutions Inc. Arrow ATC Holdings, LLC Arrow Environmental Holdings LP Arrow Environmental Holdingsi GP LLC ATC Associates of North Caro ina, PC ATC Associates of Ohio, LP ATC Associates, Inc. ATC construction services, Inc. ATC Engineering of Michigan, LP ATC Engineering, LLP ATC Environmental, Inc. ATC Group Holdings LLC ATC Group Partners LLC ATC Group services LLC ATC Holding, Inc. ATC Leasing company, LLC ATC New England corporation ATC Sol e Member LLC Atl antic Engineering Laboratories of New York, Inc. Atlantic Engineering Laboratories, Inc. Atlas Intermediate Holdings LLC Atlas TC Holdings LLC Atlas Technical consultants LLC Atlas Technical consultants Sole Member LLC Atlas Technical consultants, Inc. Bananza Industries, Inc. BCM Engineering, Inc. Beest Express, LLC caitcon, LLC Cardno ATC (MA), Inc. CEL Consulting, LLC consolidated Engineeri 1,g Laboratories Dexter ATC Fiel d services LLC Dexter Field servvices, LP Engineering & Testing services LLC Engineering Services, LLC Environrnental compliance services, Inc. ETS-ESC Holdings LLC Geosphere consultants, Inc. HES Testing, LLC Long Engineering, Inc. Long Engineering, LLC Materials Testing & Inspection, LLC O'Neil service Group, LLC Oris solutions, LLC Pavetex Engineering, LLC (dba PaveTex) Piedmont Geotechnical consultants, LLC Pipeline Environmental services Plant services Quality Assurance Engineering, Inc. Rocky Mountain PSI, LLC Sage ATC Environmental consulting LLC sage ATC Environmental Holding LLC Sage ATC Environmental Holdings LLC sage Engineering, Inc. sage Environmental consulting, LP Sage Environmental Holdings, LLC SCST, LLC southwest Geophysics, LLC The Environmental Institute United Testing, LLC WesTest, LLC Wilkins Environmental consulting, Inc. Page _ of _ ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights res!!rved. The ACORD name and logo are registered marks of ACORD n. "' ~ 0 ~ "' 8 Additional Insured-Automatic-Owners, Lessees Or Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer GPL 0217085-06 11/13/2021 11/13/2022 11/13/2021 14340000 Named Insured and Mailing Address: Producer: 0 ZURICH Add'I Prem. Return Prem. -------------------- Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 Austin, TX 78738 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement moc:Hfies insurance provided under the following: Environmental Services Package Policy IBJ COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY ~ COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILllY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE- COMMERCIAL GENERAL LIABILITY, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY caL1sed, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) ''Your work" completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or In part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or STF-ESP-101-F CW (04/13) Page 1 of 3 (b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the ,;bodily injury" or "property damage'', or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an "occurrence", offense or "pollution event", as applicable, that may result in a claim; b. We receive written notice of a claim or "suit'' as soon as practicable; and c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seel< contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance Is excess over: STF-ESP-101-F CW (04113) Page 2 of 3 r.~~ ~ Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-101-F CW (04/13) Page 3 of 3 ~~~ ~ Additional Insured -Automatic -Owners, Lessees Or Contractors ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. G PL-0217085-06 I Effective Date: 11/13/2021 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part One, Common Coverage Provisions A. Section I -Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your worl<", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (b), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), STF-ESP-MAN-123 Page 1 of 4 a. ID ~ "' 0 ~ "' 8 "' such person or organization is then an additional ihsured with respect to such endorsement(s), but only to the extent that ''bodily injury'\ "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or ''personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreemen~ and (ii) Does not apply to "bodily injury" or "property damage" caused by ''your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (ii), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any SLIbsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or ''personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an addltional insured: a. Uhder the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), STF-ESP-MAN-123 Page 2 of 4 such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage'' caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (4), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury" or "property damage" which occurs during the policy period and after the end of that minimum time period. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or ''property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Common Coverage Provisions, Section IV -Claims Provisions, Paragraph 2: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence'1 or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be. an insured in any capacity. This provision does not apply to lnsurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to th e Other Insurance Condition of Section V -Conditions, Paragraph 8; Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary ahd not seel< contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 8.b. of the Other Insurance Condition under Section V -: STF·ESP-MAN-123 Page 3 of 4 a.. ,-. l!1 <O ;; ;1 ';'l 8 ~ This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance: Additional Insured -Automatic -Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Umits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. STF-ESP-MAN-123 Page 4 of 4 Waiver of Transfer of Rights of Recovery Against Others -Blanket as Required by Contract Policy No. Eff. Date of Pol. Exp. Date of Pol. GPL 0217085-06 11/13/2021 11/13/2022 Named Insured and Mailing Address: Atlas Technical Consultants, Inc. 13215 Bee Cave Pl<wy, Building A Suite 250 Austin, TX 78738 Eff. Date of End. Producer 11 /1312021 Producer: AON Risk Solutions 5555 San Felipe, Suite 1500 Houston, TX 77056 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [X] COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY [X] COVERAGE PART TWO -CONTRACTOR'S POLLUTION UABILITY [X] COVERAGE PART THREE -PROFESSIONAL LIABILITY ZURICH Add'! Prem. Return Prem. Included In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. INTERNAL USE ONLY STF-ESP-248-A CW (04/10) Page 1 of 1 ll. a, s 0 "' V "' § "' I:; POLICY NUMBER: BAP-0217109-06 COMMERCIAL AUTO CA 20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes t11e policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Atlas Technical Consultants, Inc. Endorsement Effective Date: 11/13/2021 SCHEDULE Name Of Person(s) Or Organization(s): Any person(s) or organization(s) whom you are required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 481013 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms TM rf~~ ~ Coverage Extension Endorsement -Liability Only ZURICH Policy No. Eff. Dale of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP 0217109-06 11/13/2021 11 /1312022 11/13/2021 14340000 - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II -Covered Autos Liability Coverage: The following are also "ihSureds": a. Any ''employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in that ''employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to yoLt is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto'' referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s} or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance -Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s} or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment -Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II -Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations} required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U-CA-428-A CW (02-14) Page 1 of 3 INTERNAL USE ONLY Includes copyrighted material of Insurance SeNlces Office, Inc., With its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section 11-Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability Coverage The following is added to the Racing Exclusion in Section II -Covered Autos Liability Coverage: This exclusion does not apply to covered "autos'' participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Amended Duties In The Event Of Accident1 Claim1 Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident'', claim, "suitH or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, ''suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant or employee of the ''insured" to notify us of any "accident", claim, "suit" or "loss" shall not inval[date the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The ''insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. F. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Trpnsfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract. executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. G. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information, You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. H. Hired Auto -World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, I. Bodily Injury Redefined The definition of "bodily injury'' in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-428-A CW (02-14) Page2 of 3 J. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II -Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. All other terms, conditions, provisions and exclusions of this policy remain the same. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-C,A-428-A CW (02-14) Page 3 of 3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person(s) or organization(s) whom you are required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 11/13/21 Policy No. WC 0217111-06 Insured: Atlas Technical Consultants, Inc. Endorsement No_ Premium $ WC124 (4-84) INTER NJWQ;S8(J)Cl 'ft 3 Countersigned by Copyright 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Uniform Forms™ ~ Designated Construction Pr oject(s) Aggregate Limit ZURICH Coverage Part One-Commercial General Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. GPL 0217085-06 11/13/2021 11/13/2022 11/13/2021 14340000 _____ .., __ .. _ ---------- Named Insured and Mailing Address: Producer: Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 Austin, TX 78738 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that the following provisions apply to COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY only. Schedule Designated Construction Project(s): Construction projects as required by a written contract or written agreement executed and effective prior to providing services. Total Designated Construction Project(s) Aggregate Limit: $6,000,000 1. For all sums which the insured becomes legally obligated to pay as "damages" caused by "occurrences" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: a. A separate Designated Construction Project Aggregate Limit applies to each construction project, and that limit is equal to the amount of the Policy Aggregate Limit shown in the Declarations. b. The Total Designated Construction Project(s) Aggregate Litnit, shown in the Schedule above, is the most we will pay for the sum of all "damages" caused by "occurrences" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY which can be attributed only to ongoing operatlons at designated construction projects. c. The Designated Construction Project(s) Aggregate Limit is the most we will pay for the sum of all "damages" under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY, except "damages'' because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY regardless of the number of: (1) Insureds: STF-ESP-148-B CW (01/04) Page 1 of 2 (2) "Claims" made or ''suits" brought; or (3) Persohs or organizations making "claims" or bringing "suits". d. Any payments made under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY or "damages" or under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY for medical expenses which can be attributed only to ongoing operations at designated construction projects shall reduce the Designated Construction Project Aggregate Limit for that designated construction project. Such payments shall also reduce the Total Designated Construction Project Aggregate Limit shown in the Schedule above. However such payments shall not reduce the Policy Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project Aggregate Limit for any other designated construction project shown in the Schedule above. e. The limits shown in the Declarations for Each Incident, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the Policy Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project Aggregate Limits. 2. For all sums which the insured becomes legally obligated to pay as "damages" caused by "occurrences'' under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY, and for all medical expenses caused by accidents under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: a. Any payments made under COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY or "damages" or under COVERAGE C -MEDICAL PAYMENTS in COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY for medical expenses shall reduce the amount available under the Policy Aggregate Limit shown in the Declarations; and b. Such payments shall not reduce any Designated Construction Project Aggregate Limit or the Total Designated Construction Project Aggregate Limit. 3. When coverage for liability arising out of the ''products-completed operations hazard" is provided, any payments for "damages'' because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit shown in the declarations and not reduce the Designated Construction Project Aggregate Limit. 4. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 5. The provisions of Limits of lnsl!rance and Deductible (Section Ill.) in the COMMON COVERAGE PROVISIONS not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-148-8 CW (01/04) Page 2 of 2 Blanket Notification to Others of Cancellation ZURICH Polley No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'I Prem. Return Prem. GPL 0217085-06 11/13/2021 11/13/2022 11/13/2021 14340000 -------------------- Named Insured and Mailing Address: Producer: Atlas Technical Consultants, Inc. 'l 3215 Bee Cave Pkwy, Building A, Suite 250 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 Austin, TX 78738 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Agribusiness Pollution Liability Insurance Policy -Claims Made and Reported Coverage Commercial Umbrella Liability Policy Commercial Umbrella liability Policy -Claims Made and Reported Coverage Contractor's Pollution Liability Insurance Policy Contractor's Pollution Liability Insurance Policy -Claims Made and Reported Coverage Environmental Cleanup and Liability Insurance Policy ~ Claims Mi,\de and Reported Coverage Environmental Impairment Liability Insurance Policy • Claims Made and Reported Coverage Environmental Services Package Policy Excess Environmental Insurance Policy -Claims Made and Reported Coverage Follow Form Excess Liability Policy Follow Form Excess Liability Policy -Claims Made and Reported Coverage Healthcare Pollution liability Insurance Policy -Claims Made and Reported Coverage ,, Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance -Claims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Policy -Claims Made and Reported Coverage Professional Consultant's Liability Insurance Policy -Claims Made and Reported Coverage Professional Environmental Consultant's Liability Insurance Policy Professional Environmental Consultant's Liability Insurance Policy • Claims Made and Reported Coverage Public Entity Pollution Liability -Claims Made and Reported Coverage Real Estate Environmental Liability Insurance Policy -Claims Made and Reported Coverage Remediation Stop Loss Z Choice Pollution Liability z Choice® Real Estate Environmental Liability -Claims Made and Reported Coverage z Choice™ Pollution Liability -Claims Made and Reported Coverage Z Link® Commercial General and Pollution Liability A. If we cancel this policy by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such policy has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule: STF-ENVL-1632-A CW (1 1/10) Page 1 of 2 ::: 1. Must be initially provided to us within 15 days'. a. After the beginning of the policy period shown in the Declarations; or b. After this endorsement has been added to policy; 2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled; 3. Must be in an electronic format that is acceptable to us; and 4. Must be accurate. Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3. and 4. above. 8. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured. C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and 8. of this endorsement. D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not 1. Extend the Coverage Part cancellation date; 2. Negate the cancellation; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. E. We are not responsible for the accuracy, Integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. and 8. of this endorsement. ALL OTHER TERMS, AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ENVL-1632-A CW (11/10) Page2 of2 Notification to Others of Cancellation ZU ICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem, BAP-0217109-06 11/13/2021 11/13/2022 11/13/2021 14340000 ---·------------------- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): Any person(s) or organization(s) whom you are required by written contract. All other terms and conditions of this policy remain unchanged. INTERNAL USE ONLY Number of Days Notice: 30 U-CA-812-A CW (05110) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. .-~~ .. ,.~ * * WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS WC 99 06 33 A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 1 O days prior to the effective date of the cancellation, as advised in our notice to you, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of malling will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Number of Days Notice: Oraanization(s): Any person(s) or organization(s) whom you are required 30 bv written contract. All other terms and conditions of this policy remain unchanged. Thfs endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 11/13/21 Insured: Atlas Technical Consultants, Inc. Policy No. WC 0217111-06 Endorsement No. Premium $ ---------- INTER N,l\H1S06U'10, WC 99 06 33 Includes copyrighted material of National Council on Compensation Insurance, Inc. with its permission. Page 1 of 1 PSA21-1203CMI City Attorney Approved Version 7/19/17 PROJECT TASK DESCRIPTION AND FEE ALLOTMENT NO. 10 This tenth Project Task Description and Fee Allotment, is entered into on _________________________________________, pursuant to an Agreement between Atlas Technical Consultants LLC, a Delaware limited liability corporation, ("Contractor") and the City of Carlsbad, ("City") dated Aug. 18, 2020, (the “Agreement”), the terms of which are incorporated herein by this reference. 1.CONTRACTOR'S OBLIGATIONS Contractor shall provide miscellaneous professional services in accordance with the Cityof Carlsbad Engineering Standards, 2016 Edition, the Standard Specifications for PublicWorks Construction, 2018 Edition and the supplements thereto as published by the “GreenBook” Committee of Public Works Standards and the proposal dated Jan. 10, 2022,(“proposal”), attached as Appendix "A" for the 2022 Quality Assurance Program Update,(the “Project"). The Project services shall include updates to the quality assuranceprogram. 2.PROGRESS AND COMPLETION Contractor's receipt of this Project Task Description and Fee Allotment, signed by the CityManager or Director and a Purchase Order from the City’s Purchasing Department,constitutes notification to proceed to the Contractor. Contractor shall begin work within five (5) working days after receiving this fully executed document and a City PurchaseOrder. Contractor shall complete the work by Feb. 18, 2022. Working days are defined insection 6-7.2 "Working Day" of the Standard Specifications for Public Works Construction(Green Book). Extensions of time for this Task Description may be granted if requestedand agreed to in writing by the Director or City Manager. In no event shall Contractor workbeyond the term or authorized compensation of the Agreement, as amended by thisProject Task Description and Fee Allotment. 3.FEES TO BE PAID TO THE CONTRACTOR Contractor’s compensation for the Project is shown in Table 1, "Fee Allotment", herein.Fees shall be paid on the basis of time and materials for each task group shown in Table1. Progress payments shall be based on work days. Appendix "A", attached, prepared byContractor and reviewed by City, shows the parties’ intent as to the elements, scope andextent of the task groups. Contractor acknowledges that performance of any and all tasksby the Contractor constitutes acknowledgment by Contractor that such tasks are thosedefined in Appendix "A". Additional task groups, not shown in Table 1 or Appendix “A”, will be performed by the Contractor only upon authorization of the City through the mechanism of a separate Project Task Description and Fee Allotment and Purchase Order. In the event that City directs Contractor to curtail or eliminate all, or portions of the task groups identified in Table 1 or Appendix A, then the Contractor shall only invoice the City for work actually performed. The maximum total cost of Contractor's services for this Project Task Description and Fee Allotment is $4,924.00. 1 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE January 20, 2022 PSA21-1203CMI City Attorney Approved Version 7/19/17 4.PREVAILING WAGE RATES Any construction, alteration, demolition, repair, and maintenance work, including workperformed during design and preconstruction such as inspection and land surveying work,cumulatively exceeding $1,000 and performed under this Agreement are subject to stateprevailing wage laws. The general prevailing rate of wages, for each craft or type of workerneeded to execute the contract, shall be those as determined by the Director of IndustrialRelations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code.Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wagerates is on file in the office of the City Engineer. Contractor shall not pay less than the saidspecified prevailing rates of wages to all such workers employed by him or her in theexecution of the Agreement. Contractor and any subcontractors shall comply with Section1776 of the California Labor Code, which generally requires keeping accurate payrollrecords, verifying and certifying payroll records, and making them available for inspection.Contractor shall require any subcontractors to comply with Section 1776. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// 2 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE PSA21-1203CMI City Attorney Approved Version 7/19/17 TABLE 1 FEE ALLOTMENT UPDATE QUALITY ASSURANCE PROGRAM TASK GROUP TIME & MATERIALS Misc. Professional Services $4,924.00 TOTAL (Not-to-Exceed) $4,924.00 CONTRACTOR Atlas Technical Consultants, LLC. (name of Contractor) (name of Contractor) By: By: (sign here) (sign here) Mehrnoush Yavary, Branch Manager (print name/title) (print name/title) If Contractor is a corporation, this document must be signed by one individual from each column: Column A Chairman, President or Vice-President Column B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. CITY OF CARLSBAD, a municipal corporation of the State of California By: __________________________________ Date: _________________________ Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: ____________________________ Assistant City Attorney 3 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE 1/20/2022 6280 Riverdale Street San Diego, CA 92120 (877) 215-4321 | oneatlas.com January 10, 2022 Proposal No. 22-00232 MR. BABAQ TAJ ENGINEERING MANAGER CITY OF CARLSBAD 1635 FARADAY AVENUE CARLSBAD, CALIFORNIA 92008-7314 SUBJECT: Proposal for City of Carlsbad 2022 QAP Update Dear Mr. Taj: In accordance with your request, Atlas Technical Consultants LLC (Atlas, formerly known as SCST, LLC) is pleased to submit this proposal for professional services to review and prepare a 2022 Quality Assurance Plan (QAP) for the City of Carlsbad. Based upon our review of the existing QAP, we propose to provide our services on a time and materials basis at the unit rates provided in the Master Agreement dated August 18, 2020. SCOPE OF WORK Atlas’ proposed scope of work for construction testing will consist of the following: Review existing QAP and prepare a new updated QAP for the City to submit COST INFORMATION We propose to provide our services on a time and materials basis according to the Master Agreement dated August 18, 2020. Based on the above scope, we estimate our fees to be approximately $4,924. A cost table presenting a breakdown of our estimate has been provided in this proposal. DEFINITION OF RESPONSIBILITY The presence of our field representative will be for the purpose of observing the construction and reporting its general compliance with the approved plans and the applicable building codes. Our work does not include the supervision or direction of the contractor’s work, their employees, or their agents. The contractor is responsible for their services, and neither the presence of our field personnel nor the observation and testing by this firm should excuse the contractor in any way for defects in their work. It should further be understood that we are not responsible for site safety. During the course of a subsurface investigation, heavy equipment may disrupt the site. Proposal No. 22-00232 Page | 1 PSA21-1203CMI Appendix "A" 4 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE A ... I -----r, I C 1 Proposal No. 22-00232 Page | 2 AUTHORIZATION Atlas appreciates this opportunity to provide our professional services and is most interested in becoming a member of your consultant team. Atlas has considerable experience in successfully providing these services and we are confident that we can provide them in a timely and cost- effective manner. Should you have any questions regarding this budget estimate, or if we may be of further service, please contact our office at (619) 280-4321. Respectfully submitted, ATLAS TECHNICAL CONSULTANTS LLC Thomas “Higgy” Higginbotham Ron Baudour Program Manager/Business Development Director of Field Services TH:RB:af Attachment: Budget Estimate Summary Distribution: Addressee via e-mail at babaq.taj@carlsbadca.gov PSA21-1203CMIAppendix "A" (continued) 5 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE City of Carlsbad 2022 QA Plan Update City of Carlsbad Budget Summary/Cost Estimate Table Total Cost $2,364.00 12 hours @ $130.00 /hour $1,560.00Project Manager - QA Plan Administrative Assistant - QA Plan 12 hours @ $67.00 /hour $804.00 $2,560.00 Senior Professional - QA Plan 16 hours @ $160.00 /hour $2,560.00 $4,924.00 ASSUMPTIONS 1 2 Estimated Hours/Unit Project Client January 10, 2022 Atlas Proposal No. 22-00232 California State Prevailing Wage Rates PROFESSIONAL STAFF All work performed outside our scope of service will be invoiced per our Agreement for As-Needed Materials Testing with the City of Carlsbad. BUDGET ESTIMATE SUMMARY CONSTRUCTION TESTING SERVICES Rate/Unit TOTAL FOR CONSTRUCTION TESTING SERVICES PROJECT MANAGEMENT The client will be invoiced per the On-Call Contract with the City of Carlsbad. PSA21-1203CMI Appendix "A" (continued) 6 of 6 DocuSign Envelope ID: 46FAB563-35DA-47D5-BA2A-7226062D86CE AC:ORb® ~ CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) 11/12/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk services southwest,. I nc . NAME: Houston TX Office [,vc'.~Jo. Ext): (866) 283-7122 I r~. No.): (800) 363-0105 5S55 San Felipe E·MAIL suite 1500 ADDRESS: Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC/1 INSURED INSURER A: Zurich American Ins co 16535 Atlas Technical consul tants, Inc. INSURER B: steadfast Insurance company 26387 SCST, LLC 13215 Bee cave Parkway INSURER Cl Buildings, suite 230 INSURER DI Austin TX 78738 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570090282098 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested 'L'i'R TYPE OF INSURANCE i'Nso wvo POLICY NUMBER I IMMIDD/Y'f,VYI IMM/DO/V'f,'v'v LIMITS H X COMMERCIAL GENERAL LIABILITY GPLVll.lU<DVO l.1/U/<U<l lll/U/lUU EACH OCCURRENCE $2,000,000 ,__ 0occuR vn1v1n,,;n:;: IU n.r::1'11CU $100,000 CLAIMS-MACE PREMISES (Ea occurrence\ ,__ MED EXP (Any one porsoo) S5 ,000 PERSONAL & ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 R 0PRO· 0 $4 ,000,000 POLICY X JEOT X LOC PRODUCTS · COMP/OP AGO OTHER: A AUTOMOBILE LIABILITY BAP 0217109-06 1.1/13/2021 11/13/2022 COMBINED SINGLE LIMIT $5 ,000,000 IEa acc1,ien1l ,__ BODILY INJURY I Per person) X ANY AUTO ,__ OWNED ~ SCHEDULED BODILY INJURY (Per accidenl) -AUTO~ONLY f--AUTOS PROPERTY DAMAGE HIRED UTOS NON-OWNED /Per accldenl) ,__ ONLY ,__ AUTOS ONLY B UMBRELLA LIAB I~ OCCUR SXS021707706 1.1/13/2021 U/13/2022 EACH OCCURRENCE $1,000,000 ,__ AGGREGATE $1,000,000 X EXCESS LIAB 1 CLAIMS-MADE DEDj jRETENTION A WORKERS COMPENSATION AND WC021711106 1.1/13/2021 1.1/13/2022 X I PER STATUTE I IOTH• EMPLOYERS' LIABILITY ER VIN AOS A /\HY PROPRIETOR/ PMTNER I EXECUTIVE ~ WC730665100 ll/13/2021 11/13/2022 E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) WI E.L. DISEASE-EA EMPLOYEE $1,000,000 ~~sitrtf[~~ ~tr;PERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 B E&o-PL-Primary GPL021708506 11/13/2021 U/13/2022 Each rnci dent $2,000,000 CLAIMS MADE Aggregate $6,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule. may be allached II more space ls required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. carlsbad Municipal water District Attn: Contract Administration Al/THORIZED REPRESENTATIVE 163S Faraday Avenue Carlsbad CA 92008 USA ~ ~y'~y'rxd;(~~ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ... -~ :!:: .., C: (I) 32 .. QI "tl i5 :I: _____, AC:C:,Re>® ~ AGENCY CUSTOMER ID: 570000080236 LOC#: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk Services Southwest, Inc. Atlas Technical consultants, Inc. POLICY NUMBER see certificate NUtnber: 570090282098 CARRIER INAICCODE see certificate Number: 570090282098 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD25 FORM TITLE: Certificate of Liability Insurance INSURER($) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER Page_ of_ I ADDITIONAL POLICIES tr a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL sunn POLICY NUM nen E~FflC'rtVE llXPlllA1'10N LIMITS L'l'll TYPE OF INSURANCE INSll wvo DATE DATE (MM/ODIYYYY) (MM/DD/YYYY) OTHER B env contr Poll GPL021708506 11/13/2021 11/13/2022 Each Incident $2,000,000 Aggregate $6,000,000 ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENGY CUSTOMER ID: 570000080236 LOC#: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Aon Risk services southwest, Inc. Atlas l'echnical Consultants, Inc. POLICY NUMBER see certificate Number: 570090282098 CARRIER I NAICCOOE see certificate Number: 570090282098 EFFECTIVE DATE; ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ATLAS TECHNICAL CONSULTANTS HOLDINGS LP SCHEDULE OF NAMED INSUREDS Alta Vista Engineering services AG Alta vista solutions Inc. Arrow ATC Holdings, LLC Arrow Environmental Holdings LP Arrow Environmental Holdingsi GP LLC ATC Associates of North Caro ina, PC ATC Associates of Ohio, LP ATC Associates, Inc. ATC construction services, Inc. ATC Engineering of Michigan, LP ATC Engineering, LLP ATC Environmental, Inc. ATC Group Holdings LLC ATC Group Partners LLC ATC Group services LLC ATC Holding, Inc. ATC Leasing company, LLC ATC New England corporation ATC Sol e Member LLC Atl antic Engineering Laboratories of New York, Inc. Atlantic Engineering Laboratories, Inc. Atlas Intermediate Holdings LLC Atlas TC Holdings LLC Atlas Technical consultants LLC Atlas Technical consultants Sole Member LLC Atlas Technical consultants, Inc. Bananza Industries, Inc. BCM Engineering, Inc. Beest Express, LLC caitcon, LLC Cardno ATC (MA), Inc. CEL Consulting, LLC consolidated Engineeri 1,g Laboratories Dexter ATC Fiel d services LLC Dexter Field servvices, LP Engineering & Testing services LLC Engineering Services, LLC Environrnental compliance services, Inc. ETS-ESC Holdings LLC Geosphere consultants, Inc. HES Testing, LLC Long Engineering, Inc. Long Engineering, LLC Materials Testing & Inspection, LLC O'Neil service Group, LLC Oris solutions, LLC Pavetex Engineering, LLC (dba PaveTex) Piedmont Geotechnical consultants, LLC Pipeline Environmental services Plant services Quality Assurance Engineering, Inc. Rocky Mountain PSI, LLC Sage ATC Environmental consulting LLC sage ATC Environmental Holding LLC Sage ATC Environmental Holdings LLC sage Engineering, Inc. sage Environmental consulting, LP Sage Environmental Holdings, LLC SCST, LLC southwest Geophysics, LLC The Environmental Institute United Testing, LLC WesTest, LLC Wilkins Environmental consulting, Inc. Page _ of _ ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights res!!rved. The ACORD name and logo are registered marks of ACORD n. "' ~ 0 ~ "' 8 Additional Insured-Automatic-Owners, Lessees Or Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer GPL 0217085-06 11/13/2021 11/13/2022 11/13/2021 14340000 Named Insured and Mailing Address: Producer: 0 ZURICH Add'I Prem. Return Prem. -------------------- Atlas Technical Consultants, Inc. 13215 Bee Cave Pkwy, Building A, Suite 250 Austin, TX 78738 AON RISK SERVICES SOUTHWEST INC 5555 SAN FELIPE ST STE 1500 HOUSTON, TX 77056-2739 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement moc:Hfies insurance provided under the following: Environmental Services Package Policy IBJ COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY ~ COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILllY 1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured person(s) or organization(s) applies only to: a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE- COMMERCIAL GENERAL LIABILITY, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY caL1sed, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; and resulting directly from: (a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or (b) ''Your work" completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or In part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, and resulting directly from: (a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or STF-ESP-101-F CW (04/13) Page 1 of 3 (b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement. 3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured. 4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance and Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the written contract or written agreement you have entered into with the additional insured; or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations 5. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the ,;bodily injury" or "property damage'', or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services. 6. The additional insured must see to it that: a. We are notified as soon as practicable of an "occurrence", offense or "pollution event", as applicable, that may result in a claim; b. We receive written notice of a claim or "suit'' as soon as practicable; and c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. 7. For the coverage provided by this endorsement: a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: Primary and Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seel< contribution from any other insurance available to the additional insured. b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON COVERAGE PROVISIONS: This insurance Is excess over: STF-ESP-101-F CW (04113) Page 2 of 3 r.~~ ~ Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. 8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. STF-ESP-101-F CW (04/13) Page 3 of 3 ~~~ ~ Additional Insured -Automatic -Owners, Lessees Or Contractors ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. G PL-0217085-06 I Effective Date: 11/13/2021 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part One, Common Coverage Provisions A. Section I -Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your worl<", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (b), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), STF-ESP-MAN-123 Page 1 of 4 a. ID ~ "' 0 ~ "' 8 "' such person or organization is then an additional ihsured with respect to such endorsement(s), but only to the extent that ''bodily injury'\ "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or ''personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreemen~ and (ii) Does not apply to "bodily injury" or "property damage" caused by ''your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (ii), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any SLIbsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or ''personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an addltional insured: a. Uhder the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), STF-ESP-MAN-123 Page 2 of 4 such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage'' caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Solely with respect to this Paragraph (4), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury" or "property damage" which occurs during the policy period and after the end of that minimum time period. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or ''property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Common Coverage Provisions, Section IV -Claims Provisions, Paragraph 2: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence'1 or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be. an insured in any capacity. This provision does not apply to lnsurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to th e Other Insurance Condition of Section V -Conditions, Paragraph 8; Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary ahd not seel< contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 8.b. of the Other Insurance Condition under Section V -: STF·ESP-MAN-123 Page 3 of 4 a.. ,-. l!1 <O ;; ;1 ';'l 8 ~ This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under this endorsement, the following is added to Section Ill -Limits Of Insurance: Additional Insured -Automatic -Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Umits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. STF-ESP-MAN-123 Page 4 of 4 Waiver of Transfer of Rights of Recovery Against Others -Blanket as Required by Contract Policy No. Eff. Date of Pol. Exp. Date of Pol. GPL 0217085-06 11/13/2021 11/13/2022 Named Insured and Mailing Address: Atlas Technical Consultants, Inc. 13215 Bee Cave Pl<wy, Building A Suite 250 Austin, TX 78738 Eff. Date of End. Producer 11 /1312021 Producer: AON Risk Solutions 5555 San Felipe, Suite 1500 Houston, TX 77056 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy [X] COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY [X] COVERAGE PART TWO -CONTRACTOR'S POLLUTION UABILITY [X] COVERAGE PART THREE -PROFESSIONAL LIABILITY ZURICH Add'! Prem. Return Prem. Included In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14. Subrogation is amended by the addition of the following: We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. INTERNAL USE ONLY STF-ESP-248-A CW (04/10) Page 1 of 1 ll. a, s 0 "' V "' § "' I:; POLICY NUMBER: BAP-0217109-06 COMMERCIAL AUTO CA 20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes t11e policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Atlas Technical Consultants, Inc. Endorsement Effective Date: 11/13/2021 SCHEDULE Name Of Person(s) Or Organization(s): Any person(s) or organization(s) whom you are required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I -Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 481013 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms TM rf~~ ~ Coverage Extension Endorsement -Liability Only ZURICH Policy No. Eff. Dale of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP 0217109-06 11/13/2021 11 /1312022 11/13/2021 14340000 - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II -Covered Autos Liability Coverage: The following are also "ihSureds": a. Any ''employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in that ''employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to yoLt is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto'' referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s} or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance -Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s} or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment -Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II -Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations} required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U-CA-428-A CW (02-14) Page 1 of 3 INTERNAL USE ONLY Includes copyrighted material of Insurance SeNlces Office, Inc., With its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section 11-Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability Coverage The following is added to the Racing Exclusion in Section II -Covered Autos Liability Coverage: This exclusion does not apply to covered "autos'' participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Amended Duties In The Event Of Accident1 Claim1 Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident'', claim, "suitH or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, ''suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant or employee of the ''insured" to notify us of any "accident", claim, "suit" or "loss" shall not inval[date the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The ''insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. F. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Trpnsfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract. executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. G. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information, You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. H. Hired Auto -World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, I. Bodily Injury Redefined The definition of "bodily injury'' in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-428-A CW (02-14) Page2 of 3